Refer a Child

Anyone can refer a child.

Immediate family members, nurses, doctors, extended family, teachers, friends – anyone can refer a child age 3-21 who is terminal or battling a life-threatening illness. Simply fill out the form below to get started. Once the referral is reviewed by Wishing Star Foundation, a Programs Manager will reach out to the referred child’s family to explain next steps.

How it Works

01. Referral

Anyone can refer a child by filling out our referral form.

Refer a Child Form

02. Parent Application

The wish child’s parents fill out an application.

03. Doctor’s Confirmation

The wish child’s doctor confirms the information in the application.

04. Wish

We get to work brainstorming with the family to plan the best wish for the child.

Who qualifies for a wish to be granted?

Children age 3-21
Terminal or have a life-threatening illness
Live in Northern Idaho or Eastern Washington
The Wish Child must not have previously received a wish from another wish granting organization
The child’s doctor must deem them terminal or life-threatened on the qualification form, which is sent directly to the child’s doctor by the Wishing Star Foundation

Refer a Child FAQ

How old does the child need to be?

3-21 years old.

Who qualifies a wish child for your programs?

The child’s doctor must deem them terminal or life-threatened on the qualification form. The doctor qualification form is sent directly to the child’s doctor by the Wishing Star Foundation.

Where do Wish Children need to live to receive a wish?

Wishing Star Foundation serves children in Eastern Washington and Northern Idaho.

Can a child receive a wish if they have already been a part of another wish granting organization?

No, Wishing Star only grants wishes to children who have not previously received a wish from other wish granting organizations.

Refer a Child Form

Child's Information

Child's Name *

Child's Age *

Child's Condition (if known)

Gender of Child *

Male

Female

Child's Family Information

Parent / Guardian Name *

Family's Primary Language *

Family's Email *

Family's Phone Number *

Family's Address *

Family's State *

Family's City *

Family's Zip Code *

Your Information

Your Name *

Your Email *

How do you (the referral person) know the child / what is your connection to the child? *

Would you like to keep this referral anonymous? *

Yes

Have you contacted the family about making this referral to Wishing Star? *

Yes

Has the child received a wish from another wish granting organization? *

Yes

I am not sure

Comments *

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